Factors Predicting Women’s Adherence to Hypertensive Treatment
Keywords:
Adherence, Hypertension, Hypertensive treatment, Social Support, Women, ThailandAbstract
Hypertension is a major risk factor for cardiovascular disease leading to global mortality among women. Poor adherence to hypertensive treatment is one of the most important problems in controlling blood pressure. However, limited research in this area has been undertaken in Thailand. Thus, this descriptive correlational study aimed to investigate predictability of selected factors on adherence to hypertensive treatment among women with hypertension. A sample of 326 women with hypertension were recruited from hypertension clinics in six public health centers in Bangkok Metropolitan using multi-stage sampling. A set of self-administered questionnaires was used to collect data: background characteristics, Hypertension Knowledge Scale, Thai-version of the Center for Epidemiologic Studies Depression Scale, Patient-Provider Communication Scale, Hypertension Social Support Scale, and Adher- ence to Hypertensive Treatment Scale. Data were analyzed using descriptive statistics and hierarchical regression analysis.
Results revealed that hypertension knowledge, patient-provider communication, and hypertension social support were significant predictors and could explain 18.3% of the variance in adherence to hypertensive treatment. Such adherence is a collective outcome which may be predicted by multiple factors, such as self-efficacy, perceived benefit, and perceived barriers, so these factors should be included in future study among women with more heterogeneous background characteristics. Our findings suggest that the nurses should develop strategies by using digital health strategies providing healthcare support via mobile technologies such as smartphones. This could provide more convenient patient-provider communication, hypertension knowledge and social support to enhance adherence to hypertensive treatment.
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